CFA Research/Creative Activity and/or Engagement Report
Some responses are optional. Please complete to the best of your ability.
Name
*
First Name
Last Name
Faculty Rank or Staff Title
*
Home Unit
*
Department of Arts Administration
School of Art and Visual Studies
School of Music
Department of Theatre and Dance
Dean's Office
UK Art Museum
Singletary Center for the Arts
Research Collaborator (if applicable)
First Name
Last Name
If you have a research team, please add all members of the team and their institutions (if outside UK) and/or their college (if inside UK)
First last, college, institution
Faculty Rank or Staff Title
UKY Email
*
example@uky.edu
Professional Website if applicable
What are you reporting?
*
Please Select
Research/Creative Activity Accomplishment (if with Extension, Community Engagement, etc. and is your research/creative activity)
Recruiting/Engagement (Program involving schools, community centers, UK Extension, etc.)
What best describes the type of Research/Creative Activity you are reporting?
Please Select
Extension
Community Engagement
Presentation/Lecture/Gallery Talk
Publication
Exhibition
Performance
Grant
Award
Fellowship
Artist/Writer Residency
Other
Article/Book/Chapter/Paper Title
Publication Abstract
Journal Name or Publisher
Date of Publication
-
Month
-
Day
Year
Date
Link to Publication
Title of Presentation
Presentation Abstract
Name of Conference
Conference Location
Presentation Date
-
Month
-
Day
Year
Date
Exhibition Name
Exhibition Description
This could be copied from their catalog or website.
Name of Exhibition Space, Museum, Festival, Fair, Gallery, Extension Office, Community Partner, etc.
Location of Exhibition Space, Museum, Festival, Fair, Gallery, Extension Office, Community Partner, etc.
City, State/Province, Country
Opening Day of Exhibition
-
Month
-
Day
Year
Date
Link to Exhibition/Venue Website
Performance Name
Performance Description
Performance Venue
Performance Venue Location
Performance Date or Opening Date
-
Month
-
Day
Year
Date
Link to Performance Venue
What type of community engagement is this?
recruiting only
masterclass/workshop (can include recruiting)
performance/exhibition (can include recruiting)
lecture/presentation (can include recruiting)
adjudicating/juror (can include recruiting)
other (describe below)
Other: If none of the categories above are sufficient to describe the community engagement or research/creative activity you are reporting, please enter information here.
Name of school, community center, UK Extension office, or other
Name of coordinating teacher(s), or program coordinator(s)
Coordinating teacher or program coordinator email address
Coordinating teacher or program coordinator phone number
Is the coordinating teacher or program coordinator a UK Alumn? (if known)
yes
no
Date of the event/visit
-
Month
-
Day
Year
Date
Number of students or community members who participated/were present.
Is there anything else you would like CFA leadership to know about this recruiting/engagement event?
If there was an event, program, opening reception, conference, symposium, book launch or tour, or the like, how many people would you estimate were in the audience/participated in the event?
Sponsor Name
Sponsor Website
Grant Amount
In dollars
Beginning Date of Funding
-
Month
-
Day
Year
Date
Project Title
Abstract
Name of agency or organization giving award
Agency/organization's website
Agency/organization location
Award title
If funds were awarded, amount of award
In dollars
Award description (Is this award for work completed or for work to be completed? Please provide context.)
Fellowship Description
Residency Name
Residency Theme (if applicable)
Beginning Date of Residency
-
Month
-
Day
Year
Date
End Date of Residency
-
Month
-
Day
Year
Date
Is this residency funded in part or in full?
Partial Funding
Full Funding
No Funding
Other
Summary of project or work description
Images or other applicable documents
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